EDWARD J WARD III Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

EDWARD

Middle

Last Name

WARD III

Business Name

EDWARD J WARD III

Original Issue Date

07/06/1999

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023